Individual
LALITHA REDDY SHADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N SARAH DEWITT DR STE 206, GONZALES, TX 78629-2714
(830) 971-0268
Mailing address
8321 DONNELLEY DR, AUSTIN, TX 78744-1522
(630) 461-4141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39660
TX
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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